JP2005532141A5 - - Google Patents

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JP2005532141A5
JP2005532141A5 JP2004521568A JP2004521568A JP2005532141A5 JP 2005532141 A5 JP2005532141 A5 JP 2005532141A5 JP 2004521568 A JP2004521568 A JP 2004521568A JP 2004521568 A JP2004521568 A JP 2004521568A JP 2005532141 A5 JP2005532141 A5 JP 2005532141A5
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enclosure
liquid
patient
inlet
heat transfer
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JP2005532141A (en
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Priority claimed from US10/193,635 external-priority patent/US6969399B2/en
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Claims (40)

患者身体の少なくとも一部を中で受けるための内側空間を画定する封入部を含み、
上記封入部は、上記内側空間の中へ熱移動液体を受けて患者身体と直接液体接触させて患者身体全体に流し患者身体と上記熱移動液体との間の熱移動を促進する入口と、封入部の内側空間と流体連絡し封入部から上記熱移動液体を排出する出口を有し、
上記封入部は、液体不浸透性外側層と、身体面層を含む多孔層を含み、
上記多孔層は、封入部全体に上記液体を運ぶことができることを特徴とする
患者の身体温度を調整するための装置。 An enclosure defining an interior space for receiving at least a portion of the patient's body therein;
The enclosure includes an inlet that receives the heat transfer liquid into the inner space and is in direct liquid contact with the patient body to flow through the patient body and facilitate heat transfer between the patient body and the heat transfer liquid; An outlet for fluidly communicating with the inner space of the unit and discharging the heat transfer liquid from the enclosing unit;
The enclosure includes a liquid impermeable outer layer and a porous layer including a body surface layer,
The device for adjusting the body temperature of a patient, wherein the porous layer can carry the liquid throughout the enclosure . 上記封入部が患者身体と概略接触していることを特徴とする請求項１に記載の装置。   The apparatus of claim 1, wherein the enclosure is in general contact with a patient body. 上記熱移動液体を封入部の入口を経由し内側空間の中に流し封入部の出口に到るように仕向ける液体配布システムを、更に含むことを特徴とする請求項１に記載の装置。 Apparatus according to claim 1, characterized in that the liquid distribution system to direct to reach the outlet of the enclosure to flow into the heat movement liquid via an inlet enclosure inner space, further comprising. 液体配布システムが封入部の内側空間内部で加圧するように操作可能であることを特徴とする請求項３に記載の装置。 4. The apparatus of claim 3, wherein the liquid distribution system is operable to pressurize within the interior space of the enclosure. 封入部を取り囲み、上記封入部の外方への拡張を限定し封入部内部の患者身体の一部への圧力を与える少なくとも１本のストラップを、更に含むことを特徴とする請求項４に記載の装置。5. The apparatus of claim 4, further comprising at least one strap that surrounds the enclosure and limits outward expansion of the enclosure to provide pressure to a portion of the patient's body within the enclosure. Equipment. 上記の少なくとも１本のストラップは、患者身体の特定の部位と係合できる封入部の特定部位と係合し、患者身体の特定領域に圧力を加えるために、選択して配置され得ることを特徴とする請求項５に記載の装置。The at least one strap may be selectively placed to engage a specific part of the enclosure that can engage a specific part of the patient body and apply pressure to a specific region of the patient body. The apparatus according to claim 5. 封入部の内側空間内部のゲージ圧力が、約０キロパスカル（０ポンド／平方インチ）と約２８キロパスカル（４ポンド／平方インチ）との間であることを特徴とする請求項４に記載の装置。The gauge pressure within the interior space of the enclosure is between about 0 kilopascals (0 pounds per square inch) and about 28 kilopascals (4 pounds per square inch). apparatus. 上記封入部を取り囲むジャケットを更に含み、A jacket surrounding the enclosure;
上記ジャケットは封入部よりも弾性が無く、封入部の上記内側空間に圧力を加える際に封入部の拡張を阻止するように適合されていることを特徴とする請求項４に記載の装置。5. The device of claim 4, wherein the jacket is less elastic than the enclosure and is adapted to prevent expansion of the enclosure when pressure is applied to the inner space of the enclosure. 上記封入部は、シート状の身体面部を含み、The enclosure part includes a sheet-like body surface part,
上記のシート状の身体面部とシート状液体不浸透外側面部は、互いに向かい合わせて係合するように適合され、The sheet-like body surface portion and the sheet-like liquid impervious outer surface portion are adapted to engage face to face with each other;
上記面部は更に、それらの対向する側面に沿って互いに接合し、面部間に少なくとも一つの液体通路を形成し、The surface portions are further joined together along their opposing side surfaces to form at least one liquid passage between the surface portions;
上記液体通路は、液体を受けるため入口と流体連絡する形状及びサイズであり、The liquid passage is in shape and size in fluid communication with the inlet for receiving liquid;
上記身体面部は更に、液体が液体通路から身体面部と患者身体部位との間を通過できるように、液体通路に対応する開口部を内部に少なくとも一つ有するThe body surface further includes at least one opening therein corresponding to the liquid passage so that liquid can pass from the liquid passage between the body surface and the patient body part.
ことを特徴とする請求項３に記載の装置。The apparatus according to claim 3. 上記液体通路は更に、少なくとも１本の主要液体通路と、その主要液体通路から伸展する少なくとも２本の第２の液体通路を含むことを特徴とする請求項９に記載の装置。The apparatus of claim 9, wherein the liquid passage further comprises at least one main liquid passage and at least two second liquid passages extending from the main liquid passage. 上記の患者身体の少なくとも一部が、患者の胴、腕及び脚を含む患者の首から下の患者身体を含み、At least a portion of the patient body includes a patient body below the patient's neck, including the patient's torso, arms and legs;
主要液体通路が、患者身体の中心線から外れた位置で上記患者の胴に係合するように構成されていることを特徴とする請求項１０に記載の装置。11. The apparatus of claim 10, wherein the main fluid passage is configured to engage the patient's torso at a location off the center line of the patient body. 上記封入部は、上記入口と流体連絡する少なくとも一つの液体通路を含み上記通路の中に液体を受け、The enclosure includes at least one liquid passage in fluid communication with the inlet and receives the liquid in the passage;
上記封入部は液体通路と流体連絡する少なくとも一つの開口部を内部に有し、液体を液体通路から封入部と患者身体の部位との間まで通すことを特徴とする請求項３に記載の装置。4. The apparatus of claim 3, wherein the enclosure includes at least one opening in fluid communication with the liquid passage to allow liquid to pass from the liquid passage to between the enclosure and a portion of the patient's body. . 液体配布システムは、出口から排出される液体が上記入口に戻り封入部の内側空間の中に流入する、概略閉じた連続流システムであることを特徴とする請求項３に記載の装置。4. The apparatus of claim 3, wherein the liquid distribution system is a generally closed continuous flow system in which liquid discharged from an outlet returns to the inlet and flows into the interior space of the enclosure. 液体が封入部を出た後に計測される出口温度から、液体が封入部に入る前に計測される入口温度に液体温度を変更するための液体配布システムと流体連絡する熱交換器を更に含み、A heat exchanger in fluid communication with a liquid distribution system for changing the liquid temperature from an outlet temperature measured after the liquid exits the enclosure to an inlet temperature measured before the liquid enters the enclosure;
液体は、熱交換器を通過した後、封入部の中に再注入されることを特徴とする請求項１３に記載の装置。14. The apparatus of claim 13, wherein the liquid is reinjected into the enclosure after passing through the heat exchanger. 上記熱交換器が更に、相変化部材を含むことを特徴とする請求項１４に記載の装置。The apparatus of claim 14, wherein the heat exchanger further comprises a phase change member. 携帯自在制御ユニットを更に含み、A portable control unit;
上記携帯自在制御ユニットは、上記液体配布システム、電力源、制御システム、ユーザーインターフェースを含み、The portable control unit includes the liquid distribution system, a power source, a control system, a user interface,
液体配布システムに動力を与え制御することを特徴とする請求項１３に記載の装置。The apparatus of claim 13, wherein the liquid distribution system is powered and controlled. 上記液体配布システムが更に、患者身体と係合し患者の温度を制御システムに送る温度センサを含むことを特徴とする請求項１６に記載の装置。17. The apparatus of claim 16, wherein the liquid distribution system further includes a temperature sensor that engages the patient body and sends the patient temperature to the control system. 封入部が患者の上記部位に概略順応するように適合されていることを特徴とする請求項２に記載の装置。The apparatus of claim 2, wherein the enclosure is adapted to generally conform to the site of the patient. 封入部入口と封入部出口が、上記封入部の内側空間内部に患者身体を封入する際に、患者身体の上記部位の対向する側に配置されるように、When the enclosure part inlet and the enclosure part outlet enclose the patient body inside the inner space of the enclosure part, so as to be arranged on the opposite side of the site of the patient body,
封入部入口と封入部出口が、封入部の概略対向する側に配置されることを特徴とする請求項２に記載の装置。The apparatus according to claim 2, wherein the enclosure inlet and the enclosure outlet are disposed on substantially opposite sides of the enclosure. 上記封入部が上方部材を含み、上記上方部材の少なくとも一部が透明であることを特徴とする請求項１に記載の装置。The apparatus according to claim 1, wherein the enclosing portion includes an upper member, and at least a part of the upper member is transparent. 上記の患者身体の少なくとも一部が、胴、腕及び脚を含む、患者の首から下方の患者身体を含むことを特徴とする請求項２に記載の装置。The apparatus of claim 2, wherein at least a portion of the patient body includes a patient body below the patient's neck, including a torso, arms and legs. 上記封入部が、封入部の内側空間にアクセスするためのシール自在の開口部を含むことを特徴とする請求項２１に記載の装置。The apparatus of claim 21, wherein the enclosure includes a sealable opening for accessing an interior space of the enclosure. 上記封入部がシール自在の開口部をシールするためのピボット自在のフラップを含むことを特徴とする請求項２２に記載の装置。23. The apparatus of claim 22, wherein the enclosure includes a pivotable flap for sealing the sealable opening. 上記のシール自在の開口部は、患者の第２の身体部位周りで締められ、これにより第１の部位を実質的に密閉して封入しつつも、上記第２の身体部位が封入部の外部に伸展できることを特徴とする請求項２２に記載の装置。The sealable opening is tightened around the second body part of the patient so that the first part is substantially sealed and encapsulated while the second body part is outside the encapsulating part. 23. The device of claim 22, wherein the device can be extended. 上記液体が患者身体の部位の温度より低い温度を有し、液体が上記患者の身体部位を冷却することを特徴とする請求項２に記載の装置。3. The apparatus of claim 2, wherein the liquid has a temperature that is lower than the temperature of the body part of the patient, and the liquid cools the body part of the patient. 上記液体温度が、約１℃（３４°Ｆ）から約２℃（３６°Ｆ）の範囲であることを特徴とする請求項２５に記載の装置。The apparatus of claim 25, wherein the liquid temperature is in the range of about 1 ° C (34 ° F) to about 2 ° C (36 ° F). 上記液体が患者身体の部位の温度より高い温度を有し、液体が上記患者の身体部位を暖めることを特徴とする請求項２に記載の装置。3. The apparatus of claim 2, wherein the liquid has a temperature that is higher than the temperature of the body part of the patient, and the liquid warms the body part of the patient. 上記液体温度が、約４３℃（１０９°Ｆ）から約４７℃（１１７°Ｆ）の範囲であることを特徴とする請求項２７に記載の装置。28. The apparatus of claim 27, wherein the liquid temperature ranges from about 43 [deg.] C (109 [deg.] F) to about 47 [deg.] C (117 [deg.] F). 上記封入部は更に、上記封入部内部で受容される上記身体部位と共に上記封入部を持ち上げるハンドルを含むことを特徴とする請求項２に記載の装置。The apparatus of claim 2, wherein the enclosure further comprises a handle that lifts the enclosure together with the body part received within the enclosure. 上記封入部は更に、メッシュ状身体面層を含み、上記多孔層は上記液体不浸透性外側層と上記身体面層との間に配置された芯の層を含み、The enclosure further includes a mesh-like body surface layer, and the porous layer includes a core layer disposed between the liquid impermeable outer layer and the body surface layer,
上記芯の層は、上記液体を封入部全体に運ぶことができることを特徴とする請求項２に記載の装置。3. The device of claim 2, wherein the core layer is capable of transporting the liquid throughout the enclosure. 上記芯の中間層は、ポリエステルの芯を含むことを特徴とする請求項３０に記載の装置。32. The apparatus of claim 30, wherein the core intermediate layer comprises a polyester core. 上記メッシュ状層はナイロンスクリーンを含むことを特徴とする請求項３０に記載の装置。The apparatus of claim 30, wherein the mesh layer comprises a nylon screen. 上記多孔層は、身体面層を含む芯の層を含み、The porous layer includes a core layer including a body surface layer,
上記芯の層は、上記液体を封入部全体に運ぶことができることを特徴とする請求項２に記載の装置。3. The device of claim 2, wherein the core layer is capable of transporting the liquid throughout the enclosure. 患者の頭部と係合し、患者の頭部と接触する熱移動液体を循環させる頭部冷却デバイスを更に含むことを特徴とする請求項２に記載の装置。The apparatus of claim 2, further comprising a head cooling device that engages the patient's head and circulates a heat transfer liquid in contact with the patient's head. 上記頭部に直接接触する液体の経路となる上記頭部冷却デバイスを経由する入口と、頭部冷却デバイスから液体を排出する経路となる上記頭部冷却デバイスを経由する出口を、更に含むことを特徴とする請求項３４に記載の装置。And further including an inlet through the head cooling device serving as a path for the liquid that directly contacts the head and an outlet through the head cooling device serving as a path for discharging the liquid from the head cooling device. 35. The apparatus of claim 34, characterized in that 封入部の内側空間内部で患者身体の少なくとも一部を実質的にシールして封入するステップと、Substantially sealing and encapsulating at least a portion of the patient body within the interior space of the encapsulating portion;
熱移動液体を、患者身体と直接液体接触させて内側空間内部に流し患者身体と熱移動液体との間の熱移動を促進するように仕向けるステップとDirecting the heat transfer liquid into direct fluid contact with the patient body and flowing into the interior space to facilitate heat transfer between the patient body and the heat transfer liquid;
を含む患者の身体温度を制御するための方法。A method for controlling a patient's body temperature including: 熱移動液体を、封入部の入口から封入部の内側区間を経由して出口まで流すように仕向けるステップを、更に含むことを特徴とする請求項３６に記載の方法。37. The method of claim 36, further comprising directing the heat transfer liquid to flow from the inlet of the enclosure to the outlet via the inner section of the enclosure. 封入部入口と封入部出口の間の内側空間内部で熱移動液体を患者身体と接触するように維持するステップを、更に含むことを特徴とする請求項３７に記載の方法。38. The method of claim 37, further comprising maintaining the heat transfer liquid in contact with the patient body within the interior space between the enclosure inlet and the enclosure outlet. 封入部入口と封入部出口が患者身体の概略対向する側面に配置されるように、概略封入部入口と封入部出口との間の内側空間内部に患者身体を配置するステップを、更に含むことを特徴とする請求項３８に記載の方法。Further comprising positioning the patient body within the interior space between the generally enclosure inlet and the enclosure outlet such that the enclosure inlet and the enclosure outlet are disposed on generally opposite sides of the patient body. 40. The method of claim 38, characterized in that 患者身体への圧縮力を熱移動液体として加えるステップが、熱移動液体を封入部の内側空間を経由して流すように仕向けるステップであることを特徴とする請求項３７に記載の方法。38. The method of claim 37, wherein applying the compressive force on the patient body as a heat transfer liquid is directing the heat transfer liquid to flow through the interior space of the enclosure.
JP2004521568A 2002-07-11 2003-07-09 Device to change patient's body temperature Pending JP2005532141A (en)

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Application Number Priority Date Filing Date Title
US10/193,635 US6969399B2 (en) 2002-07-11 2002-07-11 Apparatus for altering the body temperature of a patient
PCT/US2003/021367 WO2004006814A2 (en) 2002-07-11 2003-07-09 Apparatus for altering the body temperature of a patient

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JP2005532141A5 true JP2005532141A5 (en) 2006-08-24

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JP (1) JP2005532141A (en)
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CA (1) CA2492721C (en)
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